Individual
DR. DELARAM FATEMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6500 38TH AVE N, PATHOLOGY DEPT, ST PETERSBURG, FL 33710-1629
(727) 341-4874
(727) 341-4925
Mailing address
PO BOX 741087, ATLANTA, GA 30384-1087
(727) 341-4874
(727) 341-4925
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
59151
GA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME125772
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000562010
—
GA
Enumeration date
06/10/2008
Last updated
03/21/2016
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